<{assign var="min_ititle" value="申请装修贷款"}>
<{include file="block/mini-header.html"}>
<form action="<{link ctl='topics:loanSign' http='empty'}>" mini-form="sign-form" method="post" >
<table width="100%" border="0" cellspacing="0" cellpadding="0" class="book">
	<h2>我要申请装修贷款</h2>
	<tr><th><span class="red"> * </span>联系人：</th><td><input name="data[contact]" type="text" class="input" value="" /></td></tr>
	<tr><th><span class="red"> * </span>手机：</th><td><input name="data[mobile]" type="text" class="input" value="" /></td></tr>
     	<{if $yuyue_yz}>
        <tr>
            <th>验证码</th>
            <td>
                <input class="text short" type="text" name="verifycode" placeholder="请输入验证码"/>
                <div class="rt"><img verify="#pass-verify" src="/index.php?magic-verify&_=<{$pager.dateline}>" id="pass-verify"/><a verify="#pass-verify">点击刷新验证码</a></div></td>
            
        </tr>
        <{/if}>
	<tr><th></th><td><input type="submit" value="立即报名" class="btn btn_sub_tuan" /></td></tr>
</table>
</form>

<div class="yuyue_bottom"><span>不想等待？您也可以直接联系我们</span><span class="yuyue_tel"><{$CONFIG.site.phone}></span></div>
<script>
$("[verify]").click(function(){
	$($(this).attr("verify")).attr("src", "index.php?magic-verify&_"+Math.random());
});
</script>
<{include file="block/mini-footer.html"}>